Soccer

Participants Name:
First Name

Last Name

Grade going into next year (year 2020- 2021)
Please Select Grade1st2nd3rd4th5th6th7th8th9th

School

Has Participant Played in this League before:
Please SelectYesNo

Parent 1 Name

Parent 2 Name

Parent 1 Cell

Parent 2 Cell

Home Phone Number

Parent 1 Email

Parent 2 Email

Street Address

City, State, ZIP

I acknowledge that my son assumes all risks of being injured while participating in the 5 Towns Flag Football League and I agree to hold the 5 Towns Flag Football League, it's officials, coordinators and all other staff, harmless from any liability, loss, or personal expense arising out of my son's participation in the league. I have read and agreed to the terms stated in this application.

Due to COVID-19, you must agree to the COVID-19 Waiver to participate in the League

You may read the waiver in its entirety here

By checking "I Agree" you agree and commit to all the policies in the above waiver

Liability and COVID-19 Agreement
Agree

The cost of League Registration is: $165 (+$10 processing fee for Credit Cards). Checks can be made out to: 5 Towns Flag Football league and Checks should be sent to: 355 Edward Ave Woodmere NY 11598. There will be an option to pay VIA Credit Card if you would like after you submit this form. All participants will receive an official team color jersey which has to be worn to all games.
I UNDERSTAND THAT MY APPLICATION WILL NOT BE PROCESSED UNTIL PAYMENT IS RECEIVED.
Please be aware all Registration Fees are Non Refundable

Registration Agreement
Agree

Please only click Register once!